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General NPI Number Information
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NPI Number | 1437277712
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Entity Type | Individual
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Provider Name | MARIA ELENA VALERA CARDENAS D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15570 GALE AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-1513
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Country | US
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Telephone | 626-934-9188
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Fax | 626-934-9178
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Provider Business Mailing Address
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Address Line | 3227 CONATA ST
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City | DUARTE
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State | CA
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Zip | 91010-1652
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Country | US
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Telephone | 626-930-0989
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42639
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License Number State | CA
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